- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.36 / $15.02 / $64.67
| Facility | | $5.36 | $15.02 | $64.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.82 / $7.63 / $8.24
| Professional | | $5.82 | $7.63 | $8.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.67 / $4.21 / $8.35
| Facility | | $1.67 | $4.21 | $8.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.69 / $6.69 / $6.69
| Professional | | $6.69 | $6.69 | $6.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.00 / $6.16 / $55.66
| Facility | | $3.00 | $6.16 | $55.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.80 / $17.80 / $17.80
| Facility | | $17.80 | $17.80 | $17.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.20 / $7.63 / $7.63
| Facility | | $7.20 | $7.63 | $7.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $7.63 / $7.63
| Professional | | $7.63 | $7.63 | $7.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $100.00 / $100.00
| Facility | | $75.00 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.89 / $48.89 / $57.42
| Professional | | $48.89 | $48.89 | $57.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.55 / $5.36 / $11.62
| Facility | | $1.55 | $5.36 | $11.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $7.78 / $12.59
| Professional | | $7.63 | $7.78 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $7.75 / $27.40
| Professional | | $5.30 | $7.75 | $27.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.58 / $7.63 / $11.20
| Facility | | $1.58 | $7.63 | $11.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $7.63 / $11.62
| Professional | | $7.63 | $7.63 | $11.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $7.63 / $8.57
| Professional | | $7.63 | $7.63 | $8.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $7.63 / $10.68
| Professional | | $5.36 | $7.63 | $10.68 |